SAFETY INDUCTION CHECKLIST (Site Based)

Topic Completed
1. Explain the correct use, care and limitations of PPE.
Safety eyewear (inc. glasses, goggles, face visors, etc.) __________
Safety footwear (inc. boots, wellingtons) __________
Overalls/smocks (inc. disposable & non-disposable) __________
Gloves (Different types e.g. Rigger, Vibration, Chemical) __________
Headwear (inc. 'hard hat', bump cap) __________
Respiratory Protection (inc. dust mask, chemical respirators) __________
High Visibility wear (inc. adverse weather clothing) __________
Hearing protection (inc. ear 'plugs' & era muffs) __________
Other (specify)_________________________ __________
Signing of PPE Issue/Record Form __________
2. Location of:
Permitted areas(inc. customer sites);; __________
Potentially hazardous areas; __________
Non permitted areas (inc. customer sites); __________
Fire fighting equipment; __________
Emergency evacuation procedure; __________
Fire alarm; _________
Fire Warden; __________
Assembly point: __________
3. Hazard Communication.
Show and explain the Risk Assessment(s) relevant for the employee:
Hazards; __________
Risk of injury; __________
Control measures; __________
Location of information including Safety Notice Board; __________
Review Material Safety Data Sheets.(specify) __________
4. Procedures on:
Reporting and /or fighting fires; __________
Accident reporting:
Injuries; __________
Ill health; __________
Dangerous occurrences; __________
Near misses; __________
Hazardous conditions; __________
Chemical spills; __________
Smoking; __________
Eating and drinking. __________
5. Policies and procedures on:
Participation in the management of Health and Safety; _________
Company Health & Safety Management System __________
Company Environmental Management System __________
Correct lifting (personal capability; __________
Correct use of equipment & tools __________
Housekeeping; __________
Security; __________
Alcohol, Drugs & Medicines; __________
Physical & Metal Health __________
Other (specify); _________________________________ __________
6. Information given to the new employee:
Company Health & Safety Policy; __________
Company Environmental Policy; __________
Company Safety Rules; __________
Emergency Evacuation Procedure; __________
Who to contact regarding Health & Safety issues __________
Identity of top management appointee; __________
Other. _______________________________________ __________

I_________________________________________(new employee)certify that all the topics above have

been fully explained to me, I have received the relevant information and know that I can request
further information from my supervisor
Trainee Name __________________________________Date_____________________
Manager_______________________________________Date_____________________